Individual
MARGO MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3134 PETITE DR, BOSSIER CITY, LA 71111-7817
(318) 272-8177
Mailing address
3134 PETITE DR, BOSSIER CITY, LA 71111-7817
(318) 272-8177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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